| NPI | 1437779022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-22-235800) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-19-109252) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-11-30 |